I had a nightmare some years ago. I had moved from Los Angeles to a southern state that had gone from marginally purple to bright red in the last election. The Republicans held the governorship and both houses of the legislature for the first time in generations, and every day you could pick up the paper and watch them go to work. They didn’t have a state income tax, and most of the state revenue was raised by sales taxes, and a weak economy had caused those to come up short recently, so what did they do? They raised the state sales tax on groceries. That’s right, they raised taxes on food. While they were at it, they raised taxes on drugs. So poor and middle class people in the state would pay more taxes to feed their children and to keep them healthy. But they weren’t finished. They cut funding for education, they cut funding for […]
The idea of solar roads has been dismissed by many as being impractical. But that didn’t stop China from opening one for testing today, joining the ranks of France, Holland, and other countries giving it a shot.
In Jinan, the capital of the northeastern Shandong province, traffic is now rolling over a stretch of expressway that’s also generating electricity from the sun, according to state-run CCTV (link in Chinese). Extending for 1 km (0.6 miles), the stretch is made of three layers: transparent concrete on the top, photovoltaic panels in the middle, and insulation on the bottom. The area covered comes out to 5,875 square meters (63,200 sq ft).
China is billing the project as the world’s first photovoltaic highway. In late 2016, a village in France opened what it claimed was the world’s first solar-panel road, running for about the same length as China’s new stretch though covering about half the area. In 2014, the Netherlands built a bike path embedded with solar panels.
The Jinan stretch includes two lanes and […]
Gyms across the country will be packed in the new year with people sticking, however briefly, to their New Year’s resolution to lose weight. Most of them do not know that the cards are stacked against them and that weight loss is much more complicated than working out and not eating dessert.
Years into the obesity epidemic, millions of Americans have tried to lose weight, and millions of them have failed to do so long term.
It’s so serious now that close to 40 percent of Americans are obese. The average woman in the United States today weighs about 168 pounds, or roughly the same as an average man in 1960.
Not that that guys’ waists haven’t ballooned, too. Men have gained on average nearly 30 pounds since John F. Kennedy’s inauguration in 1961.
From 1976 to 1980, just under 1 in 7 American adults, or 15.1 percent, were obese.
Now, despite people’s concerted efforts, obesity is at its highest level ever, with about 40 percent of U.S. adults and 18.5 percent of children, considered obese. This is itself an increase of about […]
The world’s 500 richest people have increased their wealth by $1tn (£745bn) so far this year due to a huge increase in the value of global stock markets, which are likely to finish 2017 at record highs.
The big increase in the fortunes of the ultra-wealthy comes as billions of poorer people across the world have seen their wealth standstill or decline. The gap between the very rich and everyone else has widened to the biggest it has been in a century and advisers to the super-rich are warning them of a “strike back” from the squeezed majority.
The globe’s 500 richest people, as measured by the Bloomberg billionaires index, have seen the value of the wealth increase by 23% so far this year, taking their combined fortunes to $5.3tn. The increase is largely the result of booming stock markets. The MSCI World Index and the US Standard & Poor’s 500 are both up almost 20% so far […]
The recent news that stents inserted in patients with heart disease to keep arteries open work no better than a placebo ought to be shocking. Each year, hundreds of thousands of American patients receive stents for the relief of chest pain, and the cost of the procedure ranges from $11,000 to $41,000 in US hospitals.
But in fact, American doctors routinely prescribe medical treatments that are not based on sound science.
The stent controversy serves as a reminder that the United States struggles when it comes to winnowing evidence-based treatments from the ineffective chaff. As surgeon and health care researcher Atul Gawande observes, “Millions of people are receiving drugs that aren’t helping them, operations that aren’t going to make them better, and scans and tests that do nothing beneficial for them, and often cause harm.”
Of course, many Americans receive too little medicine, not too much. But the delivery of useless or low-value services should concern anyone who cares about improving the quality, safety and cost-effectiveness of medical care. Estimates vary about what fraction of the treatments provided to patients is supported by adequate evidence, […]